Healthcare Provider Details

I. General information

NPI: 1851333421
Provider Name (Legal Business Name): PRESBYTERIAN MEDICAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 E HEMLOCK ST
DEMING NM
88030-3734
US

IV. Provider business mailing address

PRESBYTERIAN MEDICAL SVCS INC PO BOX 2267
SANTA FE NM
87504
US

V. Phone/Fax

Practice location:
  • Phone: 505-546-4663
  • Fax: 505-546-4844
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberCL00010267
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: JAMES RIEBSOMER
Title or Position: PRESIDENT
Credential:
Phone: 505-982-5565